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Nebraska rates for HCPCS 58340

Cath & Saline/Contrast Sonohyster/Hysterosalpi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.60 / $2,123.82 / $12,036.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $229.11 / $303.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $84.02 / $502.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.77 / $126.76 / $454.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.99 / $217.94 / $556.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.33 / $252.87 / $593.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.65 / $354.06 / $2,881.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.33 / $358.09 / $556.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.58 / $236.00 / $628.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.88 / $354.06 / $551.15